DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20203869

Case series on obstetrical outcomes in patient with uterine malformations

Kirti Solanki, Swati Kochar, Laxmi Poonia

Abstract


Congenital uterine anomalies occur due to abnormal fusion of mullerian duct during embryonic life. It is associated with high incidences of reproductive failures and adverse obstetrical outcomes. It may be associated with malpresentation, preterm labour, or recurrent pregnancy losses. Authors report a case series of 7 patients which were admitted in obstetrics and gynaecology department of SP medical college and associated group of hospitals between time period of March 2019 to July 2019. Among 7 cases 6 cases were associated with malpresentation, 1 with abortion, and 1 with preterm labour. This series shows that uterine anomalies are associated with different obstetrical outcomes varying from totally uneventful antenatal and postnatal period to abortion or preterm labour. Prenatal diagnosis of uterine anomaly may help in improving the obstetrical outcome in these patients.

 


Keywords


Congenital uterine anomaly, Malpresentation, Preterm labour, Recurrent pregnancy loss

Full Text:

PDF

References


Ribeiro SC, Tormena RA, Peterson TV, Gonzáles MD, Serrano PG, Almeida JA, et al. Müllerian duct anomalies: review of current management. Sao Paulo Med J Rev Paul Med. 2009;127(2):92e96.

Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update. 2001;7:161-74.

Chan YY, Jayaprakasan K, Zamora J, Thornton JG, Raine-Fenning N, Coomarasamy A, et al. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17:761-71.

Acien P. Incidence of mu¨ llerian defects in fertile and infertile women. Hum Reprod. 1997;12:1372-6.

The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49:944-55.

Chan YY, Jayaprakasan K, Tan A, Thornton JG, Coomarasamy A, Raine‐Fenning NJ. Reproductive outcomes in women with congenital uterine anomalies: a systematic review. Ultrasound Obstet Gynecol. 2011;38:371-82.

Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril. 2009;91:1886-94.

Ludmir J, Samuels P, Brooks S, Mennuti MT. Pregnancy outcome of patients with uncorrected uterine anomalies managed in a highrisk obstetric setting. Obstet Gynecol. 1990;75:906-10.

Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update. 2001;7:161-74.

Andrews M, Jones H. Impaired reproductive performance of the unicornuate uterus: intrauterine growth retardation, infertility and recurrent abortion in five cases. Am J Obstet Gynecol. 1982;144:173-6.

Hua M, Odibo AO, Longman RE, Macones GA, Roehl KA, Cahill AG. Congenital uterine anomalies and adverse pregnancy outcomes. Am J Obstet Gynecol. 2011;205:558.e1-5.